New PC Request Form Name * First Name Last Name Email * Phone Optional (###) ### #### Computer Type Leave Blank if no Preference Desktop Laptop Server Other (Please describe) Operating System Leave Blank if no Preference Windows / PC Apple / Mac Other (Linux, etc) Manufacturer Leave Blank if no Preference Model Leave Blank if no Preference Pre-installed Software Some software subject to monthly subscription. Prices below are a baseline. Actual price will depend on final product license level. If you already have an active subscription for any of these products, let us know under "Additional Information". Microsoft Office 365 ($7/mo) Adobe Creative Cloud ($55/mo) VMS Managed Backup ($5/mo) BitDefender Anti-Virus ($10/mo) Remote Support Tools (Free + Support Fees) Adobe Reader (Free) Steam (Free) Additional Software Any software not listed above Additional Information * Please enter more information regarding your purchase. Delivery Method * How will you be receiving your product? Local Delivery (Southern Illinois Only. Delivery Fee Applies) Local Pickup (Southern Illinois Only) Standard Shipping (Contiguous USA Only) N/a (I'm looking for consultation only) Shipping Address If Delivery / Standard Shipping is selected above Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!Your request has been received.You should expect a response within 1-3 business days.